低钠血症，水溶性水肿和泌尿道感染:想想假体缺乏症

Q4 Medicine

Quaderni ACP Pub Date : 2022-01-01 DOI:10.53141/qacp.2022.260-262

Francesco Accomando, Melodie O. Aricò, M. Marsciani

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引用次数: 0

摘要

低钠血症是儿科急诊科的常见病。低钠血症合并高钾血症和代谢性酸中毒，在尿路感染和/或泌尿病变的背景下，可能导致继发性假性醛固酮增多症(S-PHA)的怀疑。我们描述了一个8个月大的孩子评估体重减轻，严重低钠血症，轻度高钾血症和代谢性酸中毒。进一步检查显示肾素和醛固酮浓度升高，尿路感染和输尿管积水，提示S-PHA诊断。

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Iposodiemia, idroureteronefrosi e infezione delle vie urinarie: pensiamo allo pseudoipoaldosteronismo

Hyponatremia is a frequent finding in pediatric emergency department. Association of hyponatremia with hyperkalemia and metabolic acidosis, in a context of urinary tract infection and/or uropathy, may lead to suspicion of secondary pseudohypoaldosteronism (S-PHA). We describe a 8 month old child evaluated for weight loss, severe hyponatremia, mild hyperkalemia and metabolic acidosis. Further evaluation showed elevation in renin and aldosterone concentrations, urinary tract infection and hydroureteronephrosis, suggesting S-PHA diagnosis.

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来源期刊

Quaderni ACP Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.20

自引率

0.00%

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